11-102976City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: MASTER SHON'S TAEKWONDO
Project Address: 1033 S 320TH ST
.Building - Commercial
Pernfft #: 11- 102976 -00 -CO
Inspection Request Line: (253) 835 -3050
Parcel Number: 172104 9081
Project Description: TI - Verification of occupancy for instructional tae kwon do. * * *NO CONSTRUCTION
WORK TO BE DONE ON THIS PERMIT * ** 9011
Owner
Anc)licant
Contractor
Lender
C J SHON LLC
SHON RAK CHANG
C J SHON LLC
4001 36TH ST NE
4001 36TH ST NE
4001 36TH ST NE
Type V - B
TACOMA WA 98422
TACOMA WA 98422
TACOMA WA 98422
Occupancy Load:
Census Category: 999 - Unknown
Includes:
#1
#2
#3
#4
Occupancy Class:
A -3
Construction Type:
Type V - B
Occupancy Load:
175
Floor Areas . ft.)
2,620
1 0
1 0
0
PERMIT EXPIRES Saturday, April 7, 2012
Permit Issued on Monday, October 10, 2011
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use ill be i13 accordance with the laws, rules and regulations of the State of Washington
n e CitSr� Federal Way.
Owner o agent: Date: /`4
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that
at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: MASTER SHON'S TAEKWONDO
Address: 1033 S 320TH ST
Permit #: 11- 102976 -00 -CO
Includes:
#1
#2
#3
#4
Occupancy Class:
A -3
Construction Type:
Type V - B
Occupancy Load:
175
Floor Area (s q. ft.)
2,620
1 0
1 0
0
Owner Name: C J SHON LLC
Owner Address: 4001 36TH ST NE
TACOMA WA 98422
Building Official
Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a
review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner / occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which it is situated. Such compliance is the responsibility of the owner and / or occupant of the premises.
t,,.oF V
ed PERMIT
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COMMUNITY VELOPM 9 253 -835 -260 7• FAX 253 - 42 20411 AP P L I C AT I O N
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CITY OF FEDERAL WAY
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ISMF CO ME PL DE EN FP
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SITE ADDRESS
SUITE /UNIT#
PROJECT
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F
ASSESSOR'S TAX/PARCEL
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TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
(�
�fimj�_r sho�y�4bo
PROJECT DESCRIPTION
Detailed description of work to
r
Mal
be included on this permit only
PROPERTY OWNER
NAME �{ C1-
c J f � ° Y) L
PRIMARY PHONE S —
Z Sr�
MAILING ADDRESS / 0 / {
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h e
CITY (
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ZIP
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NAME
PHONE
MAILING ADD
E -MAIL
CONTRACTOR
CITY
STATE
FAX
STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME /•+ -� S
PHONE
MAILING ADDRESS
Hof s
E -MAIL
APPLICANT
CITY
STAT$ I
ZIP
FAR
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
MAILING ADDRESS
E -MAIL
j t3-e ejjwk%(e-LL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
o
PHONE
zS3 �5`�r
E-MAIL
PROJEC
NAME
WNER- FINANCED
�$5,000or
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PHOISE
MAILING ADDRES ATE, ZIP
1 certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the nfersiyned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers an",-. syees, upon the accuracy of the
information supplied to the city as a part of this application. RR ,
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 - January 1, 2011 Page I of 3 k:\Handouts\Permit Application
0 L .—
VALUE OF MECHANICAL WORK $
(a copy of bid or estimate must be provided)
Indicate how many of each type of facture to be installed or relocated as part of this project. Do not include existing futures to remain.
AIR HANDLING UNITS
FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER i
FIREPLACE INSERTS HOODS (commercial)
BOILERS
FURNACES HOT WATER TANKS (Gas)
COMPRESSORS
GAS LOG SETS REFRIGERATION SYST
D CTING
GAS PIPING WOODSTOVES
Indicate how man of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/ — Combo)
LAVS (Hand Sinks) TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS
SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen /Utwty) WATER HEATERS ectric)
HOSE BIBBS
SUMPS WASHING M INES V,1;)2,
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR \
EXISTING /PREVIOUS USE LOT SIZE (In Square Feet)
GARAGE 0 CARPORT 0
SEWER PURVE dR VALUE OF EXISTING IMPROVEMENTS
01TS—TING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No []Yes ❑ No
PRICE $ 1 # OF BEDROOMS
TOTAL I FOR OFFICE USE
y
Bulletin #100 — January 1, 2011 Page 2 of 3 kAHandouts \Permit Application